Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | ME116888 | FL |
N | 2080P0207X | Pediatric Hematology-Oncologist | 036-112870 | IL |
N | 2080P0207X | Pediatric Hematology-Oncologist | 13717 | PR |
NPI | 1043233463 |
---|---|
Provider Name | Dr. Carmen Rafaela Mejia-Carvajal |
First Address | Weston, FL 33327-2423 |
Second Address | Margate, FL 33063 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 02/11/2018 |